About the Facility
- CMS Certification Number (CCN)
- 033037
- Ownership Type
- For Profit
- CMS Region
- San Francisco
- Certification Date
- Address
5652 East Baseline Road
- Phone Number
- (480) 567-0350
Facility Medical Condition Statistics
- All other conditions
- 180
- Brain disease or condition (non-traumatic)
- 97
- Brain injury (traumatic)
- 63
- Hip or femur fracture
- 102
- Hip or knee replacement, amputation or other bone or joint condition
- 185
- Nervous system disorder (excluding stroke)
- 140
- Spinal cord disease or condition (non-traumatic)
- 33
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 259
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.813
- SIR 95% confidence interval - upper limit
- 4.171
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,103
- Predicted number of infections (B)
- 2.992
- Number of infections reported (A)
- 6
- SIR (A/B)
- 2.005
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,058
- Denominator
- 1,058
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.6
- Denominator
- 939
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.9
- Denominator
- 939
- Average observed change score
- 32.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 670
- Denominator
- 939
- Facility rate
- 71.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 661
- Denominator
- 939
- Facility rate
- 70.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,058
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.987
- SIR 95% confidence interval - upper limit
- 2.739
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 20,037
- Predicted number of infections (B)
- 8.829
- Number of infections reported (A)
- 15
- SIR (A/B)
- 1.699
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 418
- Number of health care workers
- 534
- Rate of flu vaccination
- 78.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 85
- Number of eligible stays
- 1,040
- Unadjusted potentially preventable readmission rate
- 8.17
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.33
- Lower limit of the 95% confidence interval on the RSRR
- 7.84
- Upper limit of the 95% confidence interval on the RSRR
- 10.91
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 40
- Number of eligible stays
- 1,127
- Unadjusted potentially preventable readmission rate
- 3.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.29
- Lower limit of the 95% confidence interval on the RSRR
- 3.35
- Upper limit of the 95% confidence interval on the RSRR
- 5.39
- Comparative performance category
- No Different than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 677
- Number of eligible stays
- 922
- Observed discharge to community rate
- 73.43
- Risk-standardized discharge to community rate
- 70.34
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.86
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.87
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 1,085
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,056
- Denominator
- 1,058
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 1,056
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 334
- Number of health care workers
- 380
- Rate of COVID-19 vaccination
- 87.9